North Star Family Medicine PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NORTH STAR FAMILY MEDICINE PLLC

Practice address

4682 Wilderness CT Ste 102
Brainerd, MN 56401-2834

Phone

(218) 382-2870

NPI assigned

Jan 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kristina M Lelcu, MDNPI 1669612677

Title

Ceo

Phone

(218) 838-9913

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23245/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Marie Lelcu, MD

  • Family Medicine Physician
  • Brainerd, MN
  • NPI 1669612677
  Medicare reassignment Care Compare group NPD Authorized official
• Caroline Brix, CNP

  • Family Nurse Practitioner
  • Brainerd, MN
  • NPI 1881417210
  Medicare reassignment Care Compare group
• Ashley Gagnon

  • Medical Physician Assistant
  • Lake Havasu City, AZ
  • NPI 1750036430

  MN

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1265022370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4683 WILDERNESS COURT",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-382-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4682 WILDERNESS CT STE 102",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012834",
            "telephone_number": "218-382-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "LELCU",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-838-9913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brainerd",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4683 Wilderness Court",
            "city": "Brainerd",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564015640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brainerd",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4682 Wilderness Ct Ste 102",
            "city": "Brainerd",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564012834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Marie Noha, PTA
• Lynette Nolan
• Ashley Ann Nord, M.D.
• Bethany Rose Nordby, LICSW
• North Central Cardiovascular Diagnostics, LLC
• Northern Eye Center PA
• Northern Orthopedics LTD
• Northern Orthopedics LTD
• Northern Pines Community Mental Health Center
• Northern Pines Mental Health Center, Inc

• Clinic/Center in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.